acveilleux

There's a level of navel gazing in large swathes of the startup community that assumes that no one else works as hard or needs as much knowledge.

In the beginning, his copywriter made the same 0.05$/word and the poster was making 0$/month.

So the copywriter has shouldered no risk either. He's also free to try and get more per word but he might be in a place where 0.05USD/word is actually pretty decent income.

I think that was sarcasm but maybe a little too dry.

It doesn't but the method they used might hurt their conversion ratio from free to paid accounts.

That's still true with web.skype.com being down for 3 days ealier this year for me (wouldn't render in chrome.)

You're probably aware, but CAD is a staple of modern mammo interpretation workflows. Products like Hologic ImageChecker CAD.

Using the small supplier exemption seems really doubtful to me. That pushes the tax collection liability on the driver (who can't collect taxes, since payment is through Uber app) and the limit for that is 30k$ so a lot of drivers should probably have charged taxes since they may have earned more.

In addition, my understanding (not a tax/law person) is that the 30k$ would be for the whole fare, not the driver's cut.

GST rate is 5%... But provincial sales tax could apply, at least in provinces where there is HST (Harmonized Sales Tax, administered by fed gov, divided with province.) HST varies from 13% to 15%. I wonder if we'll see provinces going after the drivers for back taxes. Revenue Quebec is notoriously aggressive in going after people for sales tax.

My experience is that "some configuration" translates to 6 months and 50k$. Especially when the really big vendors are involved and when those vendors have competing products.

It's kind of funny cause I'm in the imaging side and there's a buzz now about "deconstructed PACS" where centers will mix and match different vendors to provide radiologist workflow, image storage, DMWL worklist, Diagnostics Viewer, VR, distribution and analytics.

Right now, that's quite niche and arguably the DICOM space is the most open part of Health IT, but perhaps that will eventually percolate up to EMRs. Maybe once FHIR catches on or whatever will replace FHIR. I'm frankly still using HL7 2.x and mostly 2.2/2.3 level features.

He's probably limiting the definition to the kind of overarching EMR that fully replaces paper charts for all departments and provide a single view of the patients.

I've also done migrations (I'm in radiology systems, PACS and RIS) where clients had reports going back to the early 1980s. Not very common mind you, especially in private practices (which we get a lot of) and rural hospitals (the kind of places with CPSI/Evident or, god forbid, Healthland.)

I work in healthcare integration. I have interfaced with EPIC and Cerner and pretty much all the other main EHR platforms and seen my clients struggle with their IT.

You sir are absolutely spot on.

As for single-payer, well yes it does make a huge difference on the billing side which is often the biggest IT/tech user of an hospital. My canadian clients still have to worry about billing but they only have 1 insurance carrier to deal with and they know precisely how much everything will earn them upfront. Everyone else (tourists, out of region people, folks who let their healthcare ID lapse) pays cash at basically the same rates, thank you.

Fun fact, the oldest healthcare products like Meditech started from Billing and grew from there, it shows throughout the software still (and not just because they're written in MUMPS / InterSystems Caché). In Meditech results don't actually need a patient ID to be accepted (via electronic messaging/HL7), they need an account number so they can be billed on the right invoice. Nope the software will not figure out from the Order ID which account it goes to... Downstream systems are expected to keep those account numbers around and up to date, a patient might have 2-4 of them at the same time.

If I was to hazard a guess, minute irregularities of film blending the details instead of forcing them into a discrete grid.

The drone swarm folks are persistent and resist the facts that as drone lethality approaches fighter jet, so does the size, complexity, cost and operational requirement of the drone.

It's one thing for a drone to carry a few hellfires and be remotely controlled over air space where completely supremacy as been achieved or access granted versus actually having autonomous drones do strikes in hostile air space.

I mean, the later kind of drone exists of course, they're called cruise missiles and they cost 1.6m$ each (Tomahawk Block IV, 2014 price).

Instagram has notionally the same dynamic as twitter but somehow they do a lot better at convincing their eye balls that they are welcome on the platform and have a voice. Or at least it seems to me.

HP LaserJet 4200dtn and 20 lb white paper.